NPIMap

Organization Active NPI

Otto Bock Orthopedic Services LLC

  • Prosthetic/Orthotic Supplier
  • Flint, MI
National Provider Identifier
1134516917
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OTTO BOCK ORTHOPEDIC SERVICES LLC
Practice address
2387 S Linden Rd Ste 102
Flint, MI 48532-5487
Phone
(800) 736-8276
NPI assigned
Apr 20, 2015
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Lewis
Title
Evp of Licensure
Phone
(512) 806-2756

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2387 S Linden Rd Ste 102
Flint, MI 48532-5487

Mailing address

PO Box 734949
Dallas, TX 75373-4949
Phone (800) 736-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160709000026 MI DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 0446450837 Practice locations: Flint, MI

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Otto Bock Orthopedic Services2387 S Linden Rd, Flint, MI 48532-5487(800) 736-8276 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous E… Accepts assignmentParticipating since Dec 31, 2009

National Provider Directory

National Provider Directory
Tax ID family
Otto Bock Orthopedic Services LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2387 S Linden Rd
Ste 102
Flint, MI 48532

11501 Alterra Pkwy
Ste 600
Austin, TX 78758

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1134516917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734949",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734949",
            "telephone_number": "800-736-8276",
            "fax_number": "866-642-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 S LINDEN RD STE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325487",
            "telephone_number": "800-736-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO BOCK ORTHOPEDIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EVP OF LICENSURE",
        "authorized_official_telephone_number": "512-806-2756"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.